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Individual

DR. RUSSELL B TIMMS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2020 9TH AVE, LONGVIEW, WA 98632-4005
(360) 423-5580
(360) 423-5596
Mailing address
2020 9TH AVE, LONGVIEW, WA 98632-4005
(360) 423-5580
(360) 423-5596

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1014
AK
1223G0001X
General Practice Dentistry
Primary
4267
WA

Other

Enumeration date
06/10/2005
Last updated
07/08/2007
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